Colostomy device



April 18, 1950 M. PERRY 2,504,872

COLOSTOMY DEVICE Filed March 11, 1949 INVENTOR MURLE PERRY ATTORNEYS Patented Apr. 18, 1950 UNITED 1,5,TATE

ooLos'roMY'nnvwE .M'url'e. Perry, Minneapolis Mlhm, ApplicationMarch 11, 1949; Serial No some:

5,-Claims. o1.12s 2ss;).

A more detailed object" is to. provide: such a stoma receiver including a. ring: which can be strapped to the body to fit around and receive a. stoma, and a flexible bag which can be attached to the ring and which:includbsamapertured disc mounted opposite-- the aperturein the ring and through which a catheter may be inserted to be received in the stoma, flexibility: ofthe bagper mitting the disc to be engaged-with the stoma as the catheter'isinserted through the same to seal the outlet OfllheSfiOll'iQi and prevent the backfiow of irrigating fiuid' until a desired. quantity 0% fluid hasbeen. accumulated in: the: intestinal tract to which the stoma is connected;

A further object'is to provide such a-stoma receiver wherein the disc is made: of transparent material forming a window? permitting the stoma to-be viewed during the: irrigating. operation.

The objects and advantages of the invention will more fully appear from the following description made in connection with. the aocompanying drawing wherein like ref-er-enceicharacters refer to thesame or similar' part throughout the various views', and in which Fig; 1 is a view: in front: elevation showing the stoma receiver as it. ing catheterin us in connectiontherewith;

Fig; 2 is a vertical section taken on the line 2-4 ofFi'g. I as indicated? by theiarrows and showing the stoma receiver: applied. to the body with an irrigating oath ,ter: inserted; through the stoma. into the intestinal tract: of: the: body; and

Fig. 3515' a viewine sideeel'evati'on and with: oer.- taippartsbroken and: shown: section, illustrating: he manner in; which; he: o t et thastoma isvpluggcd;by-the disc.toi revenhbacke flow: oi. fluid iroms t a otcstinal;tract-durin the irrigation operation. 7 i r in; accordance with-the; inventionithere' is provide char ring- 4 having; a. stoma receiving) aperture n t ih ausa: i e: i ner isl is will" appear with an irrigatisomewhat convexly' formed so; as form a. tight seal with the body. of-v ahuman being" surround in a stoma A which, of; course is connectedto the intestinaltract of the body; At: its; outer. side and surrounding the opening 5 the ring 4. is equipped witha grooved circular flange 6-. while carried by the ring 4 atiitsouter surface laterally at the two. sides of the flange 6 are a pair of buttons 1; to; which: the slotted ends'of, a belt 8- maybe attached; This; belt i equipped with a buckle 9,- toadjust the effective length of the belt, and by the medium of this belt the-ring Lmaybeheld tightly in. place on the body.

For use. with the ring 4: there is: provided a flexible bag" ll]: preferably formed: of rubber or somewhat. resilient plastic. This bag has at its upper portion a lateral mouth H carrying a: reinforcing ribwhich can be' attached to. the grooved flange 6; the reinforcing rib having-l suffi'oient resiliency to;- tightly hold the mouth of the bag in sealed relation. onthe flange 6;. In

order'that the mouth H of: the bag lflvmaybe readilyattached; to and detached from the flange 8 the flange. 6: is cut awayat one portion thereof as at'the. upper part at the point l-2-, and the ring 4' iss'provided with a channel I53 through its outer portion:exterior'ofthe point 12' whereby a. finger can be rlln. downwardly through this channel l3 to.= permit. the finger to catch one-edge of the mouth H'- of" the bag' to. permit re-ady dis engagement of the mouth. from the rib by rollingthe portion engaged by the finger over the cutaway portion t2. The bag I0 is widened'below its receiving portion and the, lower part of the bag is provided: with a number of vertical corrugations i permitting. the bag; to: expand considerably as it 11115;. The lower part of the bag is reduced in" width and forms anoutletneck f5; To cl'osethe outlet; neckthere is provided a rubber tube l6 which maybe fitted into aabight formed in the outlet neck; l5; and there is also provided a metal. channel 216: of such. size; as to tightly: receive 2;. carried aroundathe rubber tube; l 6. The arrangemer t. provided" mpleiclosure for the lower=-part1oi the-bag; and at the same; timepermits "the lower: part of: the bag to. be readily opened; to dump the contents thereof.

Q-PDQsite thestoma. receiving aperture 5.. in the ring; 4;- the bag it is; providedwith; an opening I] portion of the outlet neck- I51 3 and the bag is ribbed or reinforced at I8 adjacent the edge of the opening, the reinforcing rib I8 being elastic. A grooved disc I9 preferably made of transparent plastic or other transparent material fits within the opening I I, the peripheral groove formed in this disc receiving the rib I8 and the disc being thus connected in sealed relation to the bag ID. The disc I9 has a central opening 20 therethrough, this opening being slightly tapered from the exterior side of the disc I 9 to the interior side thereof to at times receive a tapered plug 2| carried as by a cord 22 carried by the groove of the disc I9.

For use with the stoma receiver there is shown a tubular catheter 23 to which a flexible tube 24 is connected, it being understood that this tube 24 will be connected with a water supply and may be used for irrigating the intestinal tract B of the body after the through the stoma A. The catheter 23 slidably carries an elastic ring 25 which will form sealing engagement with the catheter but it may be slid longitudinally of the catheter to vary the extension of the catheter beyond this ring.

Assuming that the stoma receiver is mounted on the body with the stoma A projecting into the upper portion of the bag I through the opening in the ring 4, it is a very easy matter to employ the catheter 23 for irrigating the intestinal tract B of'the body. Normally the plug 2| will close the opening in the disc I9. When it is desired to irrigate, the plug 2I'will be removed and the ring carried by the catheter 23 will be set to determine the distance that it is desired to insert the catheter into the intestinal tract B of the body. While viewing the stoma A through the window formed by the transparent disc I9, the catheter 23 may be inserted through the opening 20 in the disc I9 and projected through the opening in the stoma A into the intestinal tract B. As the stoma can be viewed during this insertion operation no difilculty will be experienced in locating and inserting the forward end of' the catheter properly. After the catheter is inserted, the disc 25 may be grasped by the fi gers of one hand and while viewing the stoma A through the transparent window formed by the disc I9 the ring 25 may be pressed against the disc I9 to seal the opening 20 and thereupon the disc I9 may be carried into engagement with the outer portion of the stoma I8 as illustrated in Fig. 3 to seal the outlet of the stoma A. Thereupon the water or other irrigating fluid may be allowed to flow through the tube 24 and the catheter 23 into t e intestinal tract B u til the fluid has accumulated to a desired extent within the int stinal tract B and a slight pressure has been built up in this intestinal tract to thoroughly flush and clean the same. Of course, the flexibility of the bag II] permits the disc to be brought into engagement with the stoma A after the catheter has been inserted. When at length sufficient water or other fluid has entered the body, the disc I9 may be allowed to move away from the stoma A, whereupon the fluid and other matter within the intestinal tract B may be al owed to dump into the bag In. The lower end of the bag may be opened before or after this dumping operation so as to permit deposit in a proper receptacle; After the irrigation has taken place the catheter 23 will be removed, whereupon the plug 2I may be inserted in the opening 28.

It will be seen that a highly effective apparatus has been provided which will permit ready irrigation of the intestinal tract of a person having catheter is inserted a stoma and that the irrigation can be accomplished by the individual having the stoma without outside assistance. Heretofore, while in certain stoma receivers it has been possible to insert a catheter into the stoma through the receiver to permit irrigation, to my knowledge no practical structure which compares in simplicity to mine has been provided to close off the outlet of the stoma as the irrigation takes place to build up the accumulation of Water or fluid within the intestinal tract and produce a thorough flushing action. The irrigation can take place without soiling the clothing or hands of the party.

It will, of course, be understood that various changes may be made in the form, details, arrangement and proportions of the various parts without departure from the scope of the present invention which, generally stated, consists in the matter shown, and described, and set forth in the appended claims.

What is claimed is:

l. A stoma receiver comprising a ring into the aperture in which a stoma may be projected, a flexible bag releasably connected to the outer side of said ring to receive from the stoma, said bag having an opening through its outer portion opposite the stoma receiving aperture in said ring, and an apertured disc mounted in catheter may be passed into the intestinal tract through the stoma, the disc being capable of being pressed inwardly against the stomathrough flexure of the bag as a catheter is inserted to seal the outlet of the stoma against backflow of fluid fed through the catheter into the intestinal tract until a desired quantity of fluid has been accu mulated in the intestinal tract.

2. The structure defined in claim 1, said disc being formed of transparent material and forming a window through which the stoma may be viewed as the catheter is inserted through the stoma and as the disc is brought into engagement with the stoma.

3. A stoma receiver comprising a ring into the aperture in which a stoma may be inserted, a flexible bag releasably connected to the outer side of said ring, said bag having an opening opposite the stoma receiving aperture, an apertured disc mounted in the opening of the bag and through which an irrigating catheter may be passed through the stoma into the intestinal tract, the disc being capable of being pressed inwardly against the stoma through flexure of the bag as the catheter is inserted whereby the disc will seal the outlet of the stoma against backflow of fluid fed through the catheter into the stoma until the desired quantity of fluid has been accumulated in the intestinal tract, and belt attaching members carried by said disc, one at either side of the bag and to which a belt may be attached for mounting the receiver on the wearers body.

4. The structure defined in claim 3, said belt attaching members comprising buttons.

5. A stoma receiver comprising a ring having a stoma receiving aperture therein and adapted to be placed against a wearers body to surround a stoma received in said aperture, said ring having on its outer face a circular grooved flange, belt attachment buttons mounted on the outer side of said disc one at either side of said grooved flange, a flexible bag having a circular mouth at one side thereof near its top, said mouth being connectable to said grooved flange, said bag having an opening in its outer surface opposite 6 the stoma receiving aperture of said ring, an REFERENCES CITED apertured disc received within said Opening of The following references are of record in the the bag and through the aperture of which a f thj t catheter may be inserted through the stoma into file 0 5 en the intestinal tract, the flexibility of said bag 5 UNITED STATES PATENTS permitting said disc to be carried against the Number Name Date stoma as the catheter is carried through the 1,389,531 Riche Aug. 30, 1921 same to close the stoma against backfiow of ir- 2,154,202 Gricks Apr. 11, 1939 rigating fluid transmitted through the catheter,

and a removable plug for the aperture of said 10 FOREIGN PATENTS di c, Number Country Date MURLE PERRY. 555,852 Great Britain Sept. 9, 1943 

